Individual
DR. SABA V BEJANISHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4460 AUSTELL RD, AUSTELL, GA 30106-1844
(770) 941-4716
(770) 941-3047
Mailing address
3875 AUSTELL RD, STE 204, AUSTELL, GA 30106-1103
(770) 819-1717
(770) 819-1140
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
052143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432250739C
—
GA
01
—
P00218408
RR MEDICARE
—
Enumeration date
01/25/2006
Last updated
12/03/2010
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